Provider Demographics
NPI:1679807002
Name:PALIN, STEVEN (LPC/S)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:PALIN
Suffix:
Gender:M
Credentials:LPC/S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5405 BOW HILL DR
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-7803
Mailing Address - Country:US
Mailing Address - Phone:704-776-8616
Mailing Address - Fax:
Practice Address - Street 1:5405 BOW HILL DR
Practice Address - Street 2:
Practice Address - City:WAXHAW
Practice Address - State:NC
Practice Address - Zip Code:28173-7803
Practice Address - Country:US
Practice Address - Phone:704-776-8616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-02
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10588101YM0800X
SC5684101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health